Provider Demographics
NPI:1164304002
Name:LITKE, ASHTEN SKYLER
Entity type:Individual
Prefix:
First Name:ASHTEN
Middle Name:SKYLER
Last Name:LITKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 N MICHIGAN AVE STE 1314
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-1932
Mailing Address - Country:US
Mailing Address - Phone:630-880-1818
Mailing Address - Fax:
Practice Address - Street 1:875 N MICHIGAN AVE STE 1314
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-1932
Practice Address - Country:US
Practice Address - Phone:630-880-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILF07250241363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner